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发布时间:2023-12-09 02:37:23

[单项选择]A school-age child is admitted to the hospital with a diagnosis of acute lymphoblastic leukemia. The nurse formulates a nursing diagnosis of Risk for infection. Which of the following is the most effective way for the nurse to reduce the child’s risk of infection<()
A. Implementing reverse isolation.
B. Maintaining standard precautions.
C. Requiring staff and visitors to wear masks.
D. Practicing thorough hand washing.

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[单项选择]A school-aged child is admitted to the hospital with newly diagnosed, insulin-dependent diabetes mellitus. On admission his blood sugar is 180 mg/dL. His urine tests negative for ketones. He receives 10 units of regular humulin insulin subcutaneously half hour after admission. What should the nurse do next()
A. Carefully regulate an intravenous solution of normal saline and insulin at 2. 5 hours after admission.
B. Encourage the child to drink at least 500 mL of a sugar-free clear liquid 1.5 hours after admission.
C. Begin intravenous administration of 5% dextrose in water 1 hour after admission.
D. Assess the child 2. 5 hours after admission for shakiness, feelings of anxiety, or decreased level of consciousness.
[单项选择]An elderly client is admitted to the hospital with the diagnoses of dementia of the Alzheimer’s type and depression. The client has all of the following symptoms. The symptom that is unrelated to the depression would be( )
A. Shallow or labile affect
B. Neglect of personal hygiene
C. "I don’t know" answers to questions
D. Apathetic response to the environment
[单项选择]An adolescent is admitted to the hospital for headaches. She approaches the nurse and confides that she is being sexually abused by a family friend. Which of the following would be the nurse’s best initial response()
A. "Can you tell me what happened"
B. "I believe you; you were right to tell me. "
C. "Have you told your mother and father about this"
D. "Who else have you told about this/
[单项选择]A client is admitted to the hospital for treatment of Prinzmetal’s angina. When developing the client’s plan of care, the nurse should remember that this type of angina is triggered by()
A. coronary artery spasm.
B. an unpredictable amount of activity.
C. activities that increase oxygen demand.
D. an unknown source.
[单项选择]A client is admitted to the hospital in the manic phase of bipolar disorder. When placing a diet order for the client, which foods would be most appropriate()
A. A bowl of soup, crackers, and a dish of peaches.
B. A cheese sandwich, carrot sticks, fresh grapes, and cookies.
C. Roast chicken, mashed potatoes, and peas.
D. A tuna sandwich, an apple, and a dish of ice cream.
[单项选择]A client is admitted to the hospital with a productive cough, night sweats, and a fever. Which action is most important in the initial plan of care()
A. Assessing the client’s temperature every 8 hours.
B. Placing the client in respiratory isolation.
C. Monitoring the client’s fluid intake and output.
D. Wearing gloves during all client contact.
[单项选择]A client is admitted to the hospital with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn’t answered immediately. The most appropriate response to her would be()
A. "You seem angry. Would you like to talk about it"
B. "Calm down. You know that stress will make your symptoms worse. "
C. "Would you like to talk about the problem with the nursing supervisor"
D. "I can see you’re angry. I’ll come back when you’ve calmed down. "
[单项选择]Mr. Smith is admitted to the psychiatric hospital for evaluation after numerous incidents of threatening, angry outbursts and two episodes of hitting a coworker at the grocery store where he works. He is very anxious and tells the nurse, "I didn’t mean to hit him. He made me so mad that I just couldn’t help it. I hope I don’t hit anyone here. " Which of the following is the nurse’s best response
A. "It sounds like you were angry. When you feel angry here, talk to the staff about it instead of hitting. "
B. "I’m sure you didn’t mean to hit him and that it won’t happen here. "
C. "You’d better not hit anyone here, even if you do get mad. "
D. "Tell me more about what happened. /
[单项选择]A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment()
A. With a 4-year-old girl who has rheumatoid arthritis.
B. With a 5-year-old boy who is having a tonsillectomy.
C. With a 4-year-old girl who has leukemia.
D. Alone in a private room.
[单项选择]After assessing a newly admitted 5-year-old child, the nurse makes the nursing diagnosis of Parental role conflict related to child’s hospitalization. Which defining characteristic would most suggest this diagnosis()
A. Supportive child-parent interaction (speaking, listening, touching, and eye-to-eye contact).
B. Parents’ active participation in child’s physical or emotional care.
C. Parents’ failure to use available support systems or agencies to assist in coping.
D. Evidence of adaptation to parental role changes.
[单项选择]A 3-year-old child with Down syndrome is admitted to the pediatric unit with asthma. The child doesn’t enunciate words well and holds onto furniture when he walks. The nurse should ask the mother()
A. how long the child has been like this.
B. if the child can walk without holding onto furniture.
C. how the child’s condition today differs from his normal condition.
D. if the child always drools.
[单项选择]A child, age 4, is admitted with a tentative diagnosis of congenital heart disease. When assessment reveals a bounding radial pulse coupled with a weak femoral pulse, the nurse suspects that the child has()
A. patent ductus arteriosus.
B. coarctation of the aorta.
C. a ventricular septal defect.
D. truncus arteriosus.
[单项选择]It’s impossible for a child to do so much work within a short period of time, ______
A. isn’t it
B. is it
C. has it
D. hasn’t it
[单项选择]A child, age 5, with an IQ of 65 is admitted to the hospital for evaluation. When planning care, the nurse should keep in mind that this child is()
A. within the lower range of normal intelligence.
B. mildly retarded but educable.
C. moderately retarded but trainable.
D. completely dependent on others for care.
[填空题]Child Abuse
Definition of Child Abuse
Child abuse is also called cruelty to children, which is the purposeful infliction (施加) of pain and suffering on children through physical, sexual, or emotional mistreatment. Prior to the 1970s, the term child abuse normally referred only to physical mistreatment. But since then its application has expanded to include physical violence; unjustifiable verbal abuse; the failure to supply proper shelter, nourishment, medical treatment, or emotional support; sexual misbehaviors; and the use of children in illegal fields.
Current Situation of Child Abuse
Surveys in North America and Europe indicate that between 10 and 30 percent of young girls are subjected to exploitation or abuse as widely defined above. Estimates of abuse or neglect by parents or guardians range from about 1 out of every 100 children to more than 1 in 7, and figures are far higher if emotional abuse and neglect are included. Although widely pr

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